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97-142 CITY OF C.'\!-.iJ.i.,:- ._ DEPT. OF PUBUC WORKS 70 North rll'lt SL Campbell. CA 95008 (408) 866-2150 Fax (408) 37~S8 E!\CROACHt<.~!2!\T FE~.::T (lor wortma wi1biD 1bc public rIpt-of-way) _4-/:3i77~ Permit exPirel 12 mol. ~m::ilNo, Q7-/+Z' X-Ref. file ~ 3-31 -'11 AppUcatioD Dale 2. - e.. 0 - 9? App1ication expira ill 6 mos. APPUCAnON . Appblioa II brnby IIIIdc for . Public Worb FenaIlID ~ wkb c..,-u ...... Code, SICdoe lUN. (AppI__ apirII il611111111b1 "die pcrmilllllOC Iuued. AppIicaDoo Pee II DDII-rcfuDdIbIe.) A.WOltaddraa orlnCl' 9 Z / tUeSi flfI/lJ/Lrorl A/JE.. ~ArJl? 13/E '-'- Udlrt rrad1 - I)) ~ R 11 "I }II) /'I /) ij LE. f'I/j /J IJ), H /1 Ill/I_1/; /11 ;:t 1./ , ..NlmreolwOltIi<,t;N~)-j of- /N<7/Rl..I- ELEt!.-r Lt." all ,c/lC!./LI-Ic.5 C. Aad four (4) copies 01111 qiDecraI plaas IbowiD& lbe IocaIilIlIIId .... oIlbe wort, IIId four (4) capies oIlbe ~ ~a ..... 01 wart. Tbe pIam IIIaIJ Ibow lbe relaIion oIlbe propclICd wort ID CIiItIDc IUlface IIId ......olllIlid 1IIIpr...-... WJ......... by die CIty...... ....... ...... . pill 01 dIiI pamiL , D. AD wort IIIaIJ coaform to lbe City of CaqIbell SIIIIdIrd SpedfIcaIIca -' Dea6 for PlIbIic Worb ~ lbe GIaenI ...l Lc.... ~ aide; IIId the Special Provisions for dIiI permit, IiIIed bdow. Falhue ID Ibide by lIIIIe ClCllldiliaalIIId pnwiIiOIII.., IIIUIt ill jab .........lIIdIor b1alIure I p.u PwlonDIIIl:C Surecica IIId cash cIepoIlIa. (See 0eaenI Permit ('-- II11d 2.) AfAR I. THE CONTRACTOR MUST HA VB THIS PElUdlT AND APPROVED PLANS AT THE SITE AND MUST N011PY THE PUBUC WORKS of.:L8 AT ~ TWO DAVS BEFORESTARnNO WORK. NOnCE MUST BE OIVENTO PUBUCWORltS AT LIAST 24 HOURS BEFO~TItIP~WORK. .... 01 Applicam P t.Z -t" e T~DM'N'STRAT~~'iv (pm 1IIIIIe) , ~ IDa IIMfJOiICY Addras ~?~X :311JC:;K.ItJIV IU).) 3lid ...lIJSl!. 1~J~NBHO.z..CjtJ-I//1 II dIiI work beiDa doae by lbe propcrt)' 0WlIllI' albelr OWII raideDce? V. V No Tbe ApplicanLlPmniaee brnby IpCI by atrWDa lbelr aipIure ID dIiI pcI1IIillD IIaId lbe City 01 c..,-u,1Ia aftk:aI, ....1IId ...". tnc.1Ife IIId ....... tram lIlY claim or demaDd for claml&es rauItin& fram lbe wort covered by Ibis permit. TIle Appl~ bcrcby u-Jcd&es lbIt lbey bave rIllS IIId UIlidw-..d bodI tbe 1Df0l'llllli0D. Aa:cpIed CrrY OF CAMPBELL FIELD ENGINEER' S DAILY REPORT PROJECT NO. 97 -I L( L qz.t CUlL!,! /I,::J'V/'l7c../ REPORT NO: Pc- 1 t? DATE: I: /' 1- '? 7 WEATHER: C L !l1-} /C Pt~ i ~' INSPECTOR: ~u x CONTRACTOR: ITEM DESCRIPTION Ex r (- Le)/ L, ~y/[ , ~c. c/ 6- /f'fr'r BK ;[";5 j rC4C /l () FAt ?~ Dt.' rr u c I[ ., ----==-- cc: PAGE: I OF I CITY OF CAMPBELL CONTRACTO~: PG~~ PROJECT NO. 91--/I}L REPORT NO: ( DATE: 'fIb 9 WEATHER: r:AI R. INSPECTOR: K. ~G:-51f'ALL FIELD ENGINEER'S DAILY REPORT q)) w./~//-<o__~. C"'.-tJS' Std-,'GV" ITEM DESCRIPTION cc: PAGE: I OF I